Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Sample Answer for Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493 Included After Question

Topic 4 DQ 1

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project.

A Sample Answer For the Assignment: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Title: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Several factors are critical to the implementation of EBP. 3 critical components to implementation is the strategy or “intervention” being used, barriers and facilitators (factors that influence the implementation of evidence in clinical practice) and the desired outcomes of the implementation (Correa, Lugo-Aguirre-Acevedo, Contreras, et. Al, 2020). To decide these factors a needs assessment should be conducted for the facility, as well as the community or population being served. Proper understanding of healthcare systems at a local level is vital when planning an EBP implementation because it requires various resources from the local level, including skilled human resources essential to providing leadership and the necessary competence. The importance of an in-depth understanding of the available human capital at the local level. These include the presence of adequate medical personnel such as nurses, physicians and other professionals necessary for successful implementation of EBP at the local level.  Secondly, the organizational structure of the healthcare system at the local level plays a critical role in promoting the implementation of EBP successfully. Organizational factors include providing continuous education on EBP not only one time and providing opportunity for staff to improve their skills. Organizational support is essential in EBP implementation (Sindi, Hamouda & Bankhar, 2017).

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493 References

Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J., Borrero, A., Patiño-Lugo, D. F., & Valencia, D. (2020). Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health research policy and systems, 18(1), 74. https://doi.org/10.1186/s12961-020-00588-8

Sindi, N. A., Hamouda, G. M., & Bankhar, M. (2017). Factors Affecting Implementation of Evidence Based Practice as Perceived by Nurses’. IOSR Journal of Nursing and Health Science, 06(04), 53–57. doi: 10.9790/1959-0604025357

A Sample Answer 2 For the Assignment: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Title: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

The importance of an in-depth understanding of the available human capital at the local level includes adequate medical personnel such as nurses, physicians, and other professionals necessary to implement EBP at the local level successfully. Empirical evidence indicates that the willingness of an organization’s leadership to implement evidence-based practice promotes the availability of other critical resources such as funding, training opportunities, and adequate human resources (Green & Tones, 2009). In this regard, it is essential to understand the leadership of the healthcare system at the local level to determine its willingness to implement EBP. Thirdly, understanding the healthcare system’s culture at the local level is essential to consider when planning and implementing EBP. Some critical aspects of culture include the organizational norms, such as policies applied in human resources management and traditions of the local communities in which the healthcare system is based. Cultural factors play an essential role in influencing the successful implementation of EBP because it influences the cooperation of the stakeholders in the process (Green & Tones, 2009).

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Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493 Reference

Bonham, C., Sommerfeld,D., Willging, C., & Aarons, G.(2014). Organizational factors  influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies. Psychiatry Journal, 2014, doi:10.1155/2014/802983.

Green, J.,& Tones, K.(2009). Towards a secure evidence base for health promotion. Journal of  Public Health Medicine, 21(2):133-139.

A Sample Answer 3 For the Assignment: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Title: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

It is essential to take into account the requirements and preparedness of the population in addition to the resources that are at one’s disposal. Any implementation will typically need overcoming obstacles in some fashion. When planning the implementation of an evidence-based practice (EBP), it is critical to have a solid understanding of the local health care system at the level at which it operates. This is because the implementation must cater to the requirements of the population being served. There is a wide variety of available frameworks for incorporating EBP into healthcare systems; however, not all frameworks will be applicable to every healthcare system. In order for the implementation process to be successful and sustainable, it requires the active participation of stakeholders such as consumers, clinicians, healthcare administrators, leaders, and policymakers (Kilbourne, et al., 2019).

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493 References:

Kilbourne, A. M., Goodrich, D. E., Miake-Lye, I., Braganza, M. Z., & Bowersox, N. W. (2019). Quality Enhancement Research Initiative Implementation Roadmap: Toward Sustainability of Evidence-based Practices in a Learning Health System. Medical care, 57 Suppl 10 Suppl 3(10 Suppl 3), S286–S293. https://doi.org/10.1097/MLR.0000000000001144

A Sample Answer 4 For the Assignment: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Title: Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493

Nursing theories have been created to offer guidance in clinical practice, nurses gaining their knowledge and translating them into advanced nursing practice. The development of the healthcare industry in recent years in terms of skills, knowledge, and technology contributed to a dynamic health system. The increase in life expectancy, rate of chronic diseases, primary care, and a continuous reduction in hospitalization contributed to changing demanding healthcare systems. These changes led to the development of new methods of patient care and a change in the professional role of nurses. The use of theory promotes a rational practice determining focusing on specific objectives from nursing practice. Orem’s Self-Care Deficit Theory is presented as a general nursing theory, comprising three theories of self-care, the deficit of self-care, and the nursing system. Orem’s theory concept is that human beings are concerned regarding continuous communication between them and the constant change in the environment for living. Individuals have the ability to identify their needs and make decisions deliberately. Groups of individuals with a built relationship create tasks and responsibilities to provide care to other people who act poor decisions for themselves. Virginia Henderson’s model of care comes from her education and experience.

The major assumption of this concept of nursing is that nurse takes care of patients until their mental and physical status is stable. The concept of theory implements the nurses’ role to help the person, sick or healthy, to regain independence and to integrate into the health care environment, contributing to maintaining health or recovery. Henderson identified 14 aspects of basic nursing care, addressing hygiene and healthy living needs and helping the patients to apply the treatment plan prescribed by physicians. Compared to Orem, Henderson’s concept reflected the nursing model being involved in patient care to gain independence through 14 aspects. Orem sees nurses as art through which nurses offer specialized care to people with disabilities, the nurse participating in the medical care that patients received from the doctor. Orem’s theory is the basis to organize care in community care specialties, intensive care, obstetrics, medical, surgical domains, pediatrics or dialysis services, arthritis, gastrointestinal, and kidney diseases patients who use structured care using Orem’s theory concept. The principles of Henderson’s model that represent the 14 fundamental concepts are significant in the implementation and evaluation of medication reconciliation evidence-based practice supporting the patient independency and the role of nursing in the education of the proposed project. Most of the research that preceded the publication of Henderson’s Theory focused on the education process and nursing as a profession.

Henderson considered his model of care applicable in the clinical practice and all 14 components of care can be a good foundation for research. Henderson’s concept has a major influence on the education of patients, research focusing on nursing practice, and confirming the value of tested nursing interventions in helping the patient to regain health ( eliminating medication errors that trigger major changes in body condition through education). Implementation of EBP intervention in the organization requires an educational process for nurses and patients along with focusing on patients’ needs. Henderson’s model profoundly impacts nursing education and brings positive application to clinical practice (long-term care facility) by organizing daily care and elaborating the nursing discipline based on patient issues. The low degree of complexity of Henderson’s Theory facilitates its accessibility for application in clinical practice (Gligor & Domnariu, 2020). When a gap exists in the organization, the clinical nurse instructor facilitates the integration of theoretical knowledge into practice, bringing a valuable contribution by creating a positive learning environment (Akram et al., 2018). The creative organizational environment will promote a professional knowledge base of nurse education.

References:

Akram et al. (2018). The Role of Clinical Instructor in Bridging the Gap between Theory and Practice in Nursing Education. International Journal of Caring Sciences. https://eds-p-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=42c88d5a-c52f-456b-83be-b6768666dcaa%40redis

Gligor & Domnariu. (2020). PATIENT CARE APPROACH USING NURSING THEORIES – COMPARATIVE ANALYSIS OF OREM’S SELF-CARE DEFICIT THEORY AND HENDERSON’S MODEL. Acta Medica Transilvanica. https://eds-p-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=6&sid=7d9617a7-26de-4566-b157-1cb64ffdbf08%40redis DOI: 10.2478/amtsb-2020-0019

Grading Rubric

Performance Category	100% or highest level of performance 100% 16 points	Very good or high level of performance 88% 14 points	Acceptable level of performance 81% 13 points	Inadequate demonstration of expectations 68% 11 points	Deficient level of performance 56% 9 points	Failing level of performance 55% or less 0 points
Total Points Possible= 50	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.	Presentation of information was exceptional and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Application of Course Knowledge Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations	Presentation of information was exceptional and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was good, but was superficial in places and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was minimally demonstrated in the all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in one of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from and scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in two of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in three of the following elements Applies principles, knowledge and information and scholarly resources to the required topic. Applies facts, principles or concepts learned scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.
	10 Points	9 Points			6 Points	0 Points
Interactive Dialogue Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic.	Demonstrated all of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 3 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.			Demonstrated 2 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 1 or less of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.
	8 Points	7 Points	6 Points	5 Points	4 Points	0 Points
Grammar, Syntax, APA Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error.	The following was present: 0-3 errors in APA format AND Responses have 0-3 grammatical, spelling or punctuation errors AND Writing style is generally clear, focused on topic,and facilitates communication.	The following was present: 4-6 errors in APA format. AND/OR Responses have 4-5 grammatical, spelling or punctuation errors AND/OR Writing style is somewhat focused on topic.	The following was present: 7-9 errors in APA format. AND/OR Responses have 6-7 grammatical, spelling or punctuation errors AND/OR Writing style is slightly focused on topic making discussion difficult to understand.	The following was present: 10- 12 errors in APA format AND/OR Responses have 8-9 grammatical, spelling and punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand.	The following was present: 13 – 15 errors in APA format AND/OR Responses have 8-10 grammatical, spelling or punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand. AND/OR The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.	The following was present: 16 to greater errors in APA format. AND/OR Responses have more than 10 grammatical, spelling or punctuation errors. AND/OR Writing style does not facilitate communication
	0 Points Deducted					5 Points Lost
Participation Requirements	Demonstrated the following: Initial, peer, and faculty postings were made on 3 separate days					Failed to demonstrate the following: Initial, peer, and faculty postings were made on 3 separate days
	0 Points Lost					5 Points Lost
Due Date Requirements	Demonstrated all of the following: The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.					Demonstrates one or less of the following. The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.